Provider Demographics
NPI:1457519795
Name:HAYTMANEK, CRAIG THOMAS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:THOMAS
Last Name:HAYTMANEK
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:C. THOMAS
Other - Middle Name:
Other - Last Name:HAYTMANEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:181 W MEADOW DR STE 400
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:CO
Mailing Address - Zip Code:81657-5058
Mailing Address - Country:US
Mailing Address - Phone:970-476-1100
Mailing Address - Fax:970-672-0872
Practice Address - Street 1:181 W MEADOW DR STE 400
Practice Address - Street 2:
Practice Address - City:VAIL
Practice Address - State:CO
Practice Address - Zip Code:81657
Practice Address - Country:US
Practice Address - Phone:970-461-1100
Practice Address - Fax:970-672-0872
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM-12532207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery